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When is VNUS advisable?

This question was asked in Jones, Michigan and has 6 answer(s) as of 06/14/2013.
After an ultrasound of my legs, I found out I have superficial as well as deep venous reflux. Because I have deep venous reflux, does that mean the VNUS closure procedure shouldn't be done? Will the deep vein get worse? Will my blood be able to flow properly?


Doctors Answers (6)

Depending on your symptoms and the location of the reflux VNUS closure of the superficial reflux can actually improve the deep venous reflux. If you have symptomatic varicose vein I would recommend VNUS closure. The deep veins should not get worse from this procedure and it should improve your flow.

Closure is usually indicated for painful veins, or if swelling is occurring deep vein insufficiency per se in not a contraindication to closure, but the decision must be taken in context of your overall health so your blood will flow properly.

Sometimes the reflux in the deep venous system reverses to normal after the superficial reflux is corrected, unless the reflux is due to a prior DVT in the Common Femoral or the Femoral Vein, in which case it may not. It's also important to determine the deep veins in the pelvis and abdomen are patent prior to recommending VNUS closure of the Greater Saphenous Vein(s).

VNUS Closure or VENEFIT Closure is advisable when you are symptomatic and have documented venous reflux within the superficial veins, whether or not there is documented venous reflux within the deep veins. Patients do see improvement with the treatment of the superficial venous reflux, when they have reflux in both vein systems. However, with venous reflux involving the deep vein system, you will need to continue to wear compression stockings, elevate your legs as much as possible, and avoid prolonged standing or sitting positons.

If you need treatment for the saphenous vein reflux, deep vein reflux is not a reason to prevent successful treatment of the saphenous vein. Obstruction of the deep veins, usually from old clotting, may be a reason not to treat the saphenous vein if the saphenous vein is carrying a large volume of the blood around the obstruction in the deep veins.

Despite the presence of combined deep and superficial vein reflux, thermal ablation procedures like VNUS Closure for the superficial saphenous veins usually provide significant benefits and are safe. In fact, thermal ablation of the superficial vein component has been shown to frequently correct the deep reflux.

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